Development of the elderly health monitoring system through families and community health workers during the COVID-19 pandemic

https://doi.org/10.22146/jcoemph.61899

Anggi Lukman Wicaksana(1), Firdaus Hafidz(2*), Putri T Rosha(3), Annisa Ryan Susilaningrum(4), Anisah Ramadhani(5)

(1) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; Department of Medical Surgical Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, UGM
(3) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(4) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(5) Sleman Health and Demographic Surveillance System (Sleman HDSS), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Elderly people have a high risk of severe and fatal COVID-19 condition. Controlling the risk factors among the elderly is important, but health service provision during outbreaks is challenging. The elderly need increased attention to be monitored for their health status routinely. The elderly must also adjust daily activities according to the COVID-19 protocols. This program aimed to provide a practical example of a feasible system to empower community health workers and families for monitoring health among the elderly. This study used quantitative and qualitative data to identify the problems and needs of elderly health monitoring in Caturtunggal, Sleman, Indonesia. Descriptive quantitative methods used secondary data from the Sleman Health and Demographic Surveillance System and elderly health checklists to identify the issues of non-communicable diseases (NCDs) before and during COVID-19. The community health workers were interviewed to explore the needs and feasibility of programs among the elderly. As much as 16% of Caturtunggal population is elderly. One-third are 60-65 years old (33.30%) and retired (30.60%). The most common NCDs were hypertension (25.60%), diabetes mellitus (13.30%), stroke and coronary heart disease (4.40% for each). Almost all elderly (88.89%) have health insurance. Health counselling, online consultation, and monitoring were agreed on after discussion with the community health workers. Serial consultations (COVID-19 protocol for elderly, regular self-monitoring, the national health insurance mobile application, and health services during the pandemic situation) were conducted through WhatsApp groups. Free counseling was provided throughout the program for the elderly care during the outbreak. The monitoring was achieved through the WhatsApp groups by delivering instructional photos or videos of physical activity, blood pressure measurements, dietary record and stress management. The elderly and families felt more confident to check their health status and reported the results. In conclusion, development of health monitoring system was conducted through health checklists. Family and community cadres were also involved to make the program more feasible and sustainable.


Keywords


COVID-19; community health worker; elderly; family; health monitoring

Full Text:

PDF


References

  1. Fang X, Li S, Yu H et al. Epidemiological, comorbidity factors with severity and prognosis of COVID-19: a systematic review and meta-analysis. Aging (Albany NY). 2020; 12(3): 12493-503.
  2. World Health Organization. Supporting older people during the COVID-19 pandemic is everyone’s business [Internet]. World Health Organization. 2020. Available from: http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/4/supporting-older-people-during-the-covid-19-pandemic-is-everyones-business
  3. Satuan Tugas Penanganan COVID-19. Peta persebaran COVID-19 [Internet]. Satuan Tugas Penanganan COVID-19. 2020. Available from: https://covid19.go.id/peta-sebaran-covid19
  4. Badan Pusat Statistik. Proyeksi penduduk Indonesia. Badan Pusat Statistik. Jakarta: Badan Statistik Indonesia; 2013.
  5. HDSS Sleman. Executive summary HDSS tahun 2019. Yogyakarta; 2019.
  6. Seftiani. Lansia dalam situasi pandemi COVID-19 [Internet]. 2020. Available from: https://kependudukan.lipi.go.id/id/berita/53-mencatatcovid19/847-lansia-dalam-situasi-pandemi-covid-19
  7. Kementerian Kesehatan RI. Panduan pelayanan kesehatan lanjut usia pada era pandemi COVID-19. Jakarta: Kementerian Kesehatan RI; 2020.
  8. World Health Organization. Health care considerations for older people during COVID-19 pandemic [Internet]. World Health Organization. 2020. Available from: https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/publications-and-technical-guidance/vulnerable-populations/health-care-considerations-for-older-people-during-covid-19-pandemic
  9. Lekamwasam R LS. Effects of COVID-19 pandemic on health and wellbeing of older people: a comprehensive review. Ann Geriatr Med Res. 2020; 24(3): 166–72.
  10. World Health Organization. COVID-19 strategic preparedness and response (SPRP) monitoring and evaluation framework. Geneva: WHO; 2020.
  11. Badan Pusat Statistik. Statistik penduduk lanjut usia 2019. Jakarta: Badan Statistik Indonesia; 2020.
  12. Gutiérrez-Vega M, Esparza-Del Villar OA, Carrillo-Saucedo IC, Montañez-Alvarado P. The possible protective effect of marital status in quality of life among elders in a U.S.-Mexico border city. Community Ment Heal J. 2018; 54(4): 480-4.
  13. Ministry of Health RI. Secretariat general Indonesia health profile 2018. Jakarta: Ministry of Health RI; 2019.
  14. Karyono DR, Wicaksana AL. Current prevalence, characteristics, comorbidities of patients with COVID-19 in Indonesia. J Community Empowerment Health. 2020; 3(2): 77-84.
  15. Bianchetti A, Bellelli G, Guerini F, Marengoni A, Padovani A, Rozzini R, et al. Improving the care of older patients during the COVID-19 pandemic. Aging Clin Exp Res. 2020; 32(9): 1883–8.
  16. Bhaskar S, Bradley S, Chattu VK, Adisesh A, Nurtazina A, Kyrykbayeva S, et al. Telemedicine as the new outpatient clinic gone digital: position paper from the Pandemic Health System Resilience PROGRAM (REPROGRAM) International Consortium (Part 2). Front Public Heal. 2020; 8(410).
  17. Sally M, Elsayed I, Marwa A. Relationship between knowledge, preventive practices and fear from COVID-19 among middle aged and older adults: during the novel coronavirus outbreak. Am J Nurs Sci. 2020; 9(5): 333–46.
  18. Islam T, Mahmood K, Sadiq M, Usman B, Yousaf S. Understanding knowledgeable workers’ behavior toward COVID-19 information sharing through WhatsApp in Pakistan. Front Psychol. 2020; 11: 1–11.
  19. Morley JE. Telehealth and geriatrics. J Nutr Heal Aging. 2021; 25(6): 712–3.
  20. Ballard M, Bancroft E, Nesbit J, Johnson A, Holeman I, Foth J et al. Prioritising the role of community health workers in the COVID-19 response. BMJ Glob Heal. 2020; 5: 1–7.



DOI: https://doi.org/10.22146/jcoemph.61899

Article Metrics

Abstract views : 1141 | views : 936

Refbacks

  • There are currently no refbacks.


Copyright (c) 2022 Journal of Community Empowerment for Health

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.